Individual provider Active NPI

Michelle Adams McDaniel, LCSW

  • Clinical Social Worker
  • Belen, NM
National Provider Identifier
1639618952
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10243 Issued in NM
Practice address
2 Morgan Rd
Belen, NM 87002-7076
Phone
(505) 818-8253
Fax
(505) 521-5150
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M-09198 NM
Clinical Social Worker 1041C0700X C-10243 NM Primary

Addresses

Primary practice location

2 Morgan Rd
Belen, NM 87002-7076

Mailing address

2 Morgan Rd
Belen, NM 87002-7076
Phone (505) 818-8253

Other practice location 1

5608 Zuni Rd SE
Albuquerque, NM 87108-2926
Phone (505) 262-2481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C-10243NMMDClinical Social Worker
M-09198NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Hope LLC Clinical CurrentSince Oct 8, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1639618952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MORGAN RD",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870027076",
            "telephone_number": "505-818-8253",
            "fax_number": "505-521-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MORGAN RD",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870027076",
            "telephone_number": "505-818-8253",
            "fax_number": "505-521-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5608 Zuni Rd SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871082926",
            "country_code": "US",
            "telephone_number": "505-262-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "MICHELLE",
        "middle_name": "ADAMS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-09198",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.